Miss Jean Rhadenie Hernandez Montes, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Lakewood, California. Her current practice location is
3300 E South St Ste 305, Lakewood, California. You can reach out to her office (for appointments etc.) via phone at
() -.
Miss Jean Rhadenie Hernandez Montes is licensed to practice in Florida (license number APRN11016885) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679095350.
Physician's Profile
Full Name | Miss Jean Rhadenie Hernandez Montes |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 3300 E South St Ste 305, Lakewood, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679095350
- Provider Enumeration Date: 07/13/2017
- Last Update Date: 08/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 8921487745
- Enrollment ID: I20220623003267
Medical Identifiers
Medical identifiers for Miss Jean Rhadenie Hernandez Montes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679095350 | NPI | - | NPPES |
95005912 | Other | CA | CA BRN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | 95005912 (California) | Secondary |
207QA0505X | Family Medicine - Adult Medicine | APRN11016885 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN11016885 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Jean Rhadenie Hernandez Montes allows following entities to bill medicare on her behalf.
Entity Name | Premier Medical Associates All Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093829442 PECOS PAC ID: 2365418019 Enrollment ID: O20041026000956 |
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Entity Name | Premier Medical Associates Of Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366046179 PECOS PAC ID: 1557773413 Enrollment ID: O20201217000613 |
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Entity Name | Premier Medical Associates Of Florida Healthcare, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023612827 PECOS PAC ID: 6800200940 Enrollment ID: O20210201000388 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Jean Rhadenie Hernandez Montes is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Jean Rhadenie Hernandez Montes, FNP-C 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 Ph: (352) 259-2159 | Miss Jean Rhadenie Hernandez Montes, FNP-C 3300 E South St Ste 305, Lakewood, CA 90805-4595 Ph: () - |
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